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aadilsahi

Adil Javed

@aadilsahi

Healthcare EDI and RCM Automation Developer with FHIR Expertise

Pakistan
Englisch
Einige Informationen werden in englischer Sprache angezeigt.
Über mich
Healthcare EDI and RCM Automation Developer with FHIR expertise and 14+ years delivering production EDI, API and clearinghouse solutions for providers, billing teams and healthtech platforms • EDI parsing, validation, and debugging • CMS-1500 to EDI mapping and crosswalks • Claims 837P 837I 837D, 835, TA1 997 999 277CA • Eligibility 270 271, Claim Attachment 275, Claim Status 276 277, Referrals 278 • Realtime and batch clearinghouse and multi-payer integrations • Claim scrubber and automation • Workers comp EDI, FHIR and custom APIs I build, improve and fix EDI workflows and production systems... Mehr lesen

Kompetenzen

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aadilsahi
Adil Javed
offline • 
Durchschnittliche Antwortzeit: 3 Stunden

Meine Dienstleistungen

Fehlerbehebung
I will provide healthcare edi support, debugging, and issue fixing
Ab40 $ / ProjektWeitere Details
API & Integrationen
I will convert and map healthcare edi files across any data format
Ab120 $ / ProjektWeitere Details

Arbeitserfahrung

Freelance

Healthcare EDI and RCM Automation Developer

Freelance • Freiberufler

Feb 2022 - Present • 4 yrs 3 mos

Delivered production EDI, clearinghouse and RCM automation solutions across live payer and billing environments. • EDI parsing, validation, mapping, and CMS-1500 crosswalks • Claims 837P 837I 837D, ERA 835, Eligibility 270-271, Claim Status 276-277, Claim Attachments 275 • Acknowledgements TA1 997 999 277CA • Integrations: Availity, Optum, DentalXchange, Jopari, Data Dimensions, Office Ally, Waystar • Payer networks: Medicare CMS, State Medicaid, BCBS, United Healthcare, and more. • Claim scrubber, denial-prevention, and workers' compensation EDI • FHIR integrations, REST APIs, and system-level debugging and fixes

Senior EDI and RCM Automation Developer

Healthcare IT Consulting • Vollzeit

Oct 2011 - Jun 2024 • 12 yrs 8 mos

• Designed and built a clearinghouse platform with batch and real-time EDI integrations across payer and clearinghouse networks • Developed a rule-based claim scrubber with validation and denial-prevention logic to improve clean-claim rates • Built end-to-end RCM automation, including eligibility verification, referrals, claim submission, ERA posting, and patient statements